“What happens is actually pretty simple,” Dr. Sydney Spiesel explained toNPR.
“The administerer of the hickey applies lips to the neck and creates a vacuum.
Can someone giving you a hickey ever cause serious harm?

Some bruises, of course, are worse than others.
While strokes induced by hickeys are extremely rare, they’re not a thing of fiction either.
How can you avoid endangering your partner’s health?

If the clots grow large enough, they can block blood flow to the brain, inducing a stroke.
All of that’s to say, location is key.